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<br />Jul 14 03 09: 16a <br /> <br />OBrien Builders <br /> <br />651-748-8904 <br /> <br />p.2 <br /> <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br />PHONE: (651) 490-2279 FAX: (651) 490-2931 <br />(City Code is available on the Internet: www.ci.roseville.mn.us). <br /> <br />SETBACK PERMIT APPLICATION <br />(CITY CODE SECTION 1013.05) <br /> <br />o RESIDENTIAL PROPERTY OWNER FEE - $25 <br />(All fees payable upon submittal of completed application) <br /> <br />Please complete the application by typing or printing in ink. If the spaces provided are insufficient, use <br />additional sheets, keying infoffi1ation to the proper item numbers: <br /> <br />1. <br /> <br />Narne of Owner: <br /> <br />(First) <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />2. Address of Owner: <br /> <br /> <br />':;:4~~/lJ;C~'<:~,~ <br />< .( ~"~ <br /> <br />}/lJ ;', I I , ,". t';"-'tl .; '" "'J " """"'I)' <br />" ,I') (1 i4j.lU;'\Cf~': ,~~"I~;~><,;'n=:>/, <br />(First) {Mjddle/ (Last) <br /> <br />r-..., >;L',; j/: ~~"Fl~' ;~~.;\ i ' <br /> <br />t ' , <br />/ . c"\ <br /> <br />3. <br /> <br />Name of Applicant: <br /> <br />(Phone) <br /> <br /> <br />4. <br /> <br />Address of Applicant: (No. And Street) <br /> <br />(City ) <br /> <br />(State) <br /> <br />(Zip) <br /> <br /> <br />5. Street Address of Property Involved: <br /> <br />6. State exactly what is intended to be done on or with the property that requires the setback <br />permit: <br /> <br /> <br />7. Explain alternatives that have beeriexamined whiq{l would enable you to meet existing Code <br />requirements: <br /> <br /> <br />Page 1 of 3 <br />